scholarly journals Reforming care without bureaucracy

2018 ◽  
Vol 43 (3) ◽  
pp. 104-105
Author(s):  
Peter Tyrer
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Good Practice ◽  
Care Programme ◽  
The Future ◽  
Discharge From Hospital ◽  
Intangible Benefit

The Care Programme Approach was a valiant attempt to improve the aftercare of people with severe mental illness after discharge from hospital. It was introduced as a response to a scandal, not an advance in knowledge, and has always suffered by being a reaction to events rather than a trailblazer for the future. It may have dragged the worst of care upwards, but at the expense of creating a bureaucratic monstrosity that has hindered good practice by excessive attention to risk, and vastly increased paperwork with intangible benefit. It needs to be simplified to allow practitioners greater scope for collaborative solutions, less minatory oversight and better use of strained resources.Declaration of interestNone.

scholarly journals Proteomics for blood biomarker exploration of severe mental illness: pitfalls of the past and potential for the future

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Ashley L. Comes ◽  
Sergi Papiol ◽  
Thorsten Mueller ◽  
Philipp E. Geyer ◽  
Matthias Mann ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
The Past ◽  
Blood Biomarker ◽  
The Future

scholarly journals Cancer and severe mental illness in low‐ and middle‐income countries: The challenges and outlook for the future

2021 ◽  
Author(s):  
Sung Jin Park ◽  
Alisa Wai ◽  
Keechilat Pavithran ◽  
Beena Kunheri ◽  
Koravangattu Valsraj
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Middle Income ◽  
Middle Income Countries ◽  
The Future ◽  
Low And Middle Income

scholarly journals Systematic assessments of need and care planning in severe mental illness

2004 ◽  
Vol 185 (2) ◽  
pp. 163-168 ◽  
Author(s):  
M. Marshall ◽  
A. Lockwood ◽  
G. Green ◽  
G. Zajac-Roles ◽  
C. Roberts ◽  
...  
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Needs Assessment ◽  
Randomised Trial ◽  
Care Planning ◽  
Care Programme ◽  
Cluster Randomised ◽  
Care Coordinators ◽  
To Receive ◽  
Assessment Of Need

BackgroundSurveys have shown high levels of unmet need in representative samples of people with severe mental illness. Introducing standardised needs assessment into the care planning process might reduce these needs and improve outcome.AimsTo determine whether feedback from a standardised assessment of need enhances the effectiveness of care planning and whether exposing care coordinators to feedback on some patients improves their care of other patients.MethodA single-blind, cluster-randomised trial involving a within-cluster individually randomised arm: patients' needs were evaluated using the Cardinal Needs Schedule and the findings were fed back to their care coordinators under the care programme approach. Atotal of 304 patients were recruited from 72 care coordinators and 242 patients (79.6%) were reassessed at 12 months.ResultsThe only significant effect of the intervention was on patient satisfaction. Patients cluster-randomised to receive feedback were more satisfied than controls, but patients individually randomised to receive feedback were not.ConclusionsStandardised needs assessment did not substantially enhance care planning in this trial. However, giving care coordinators some experience of feedback from a standardised assessment of need could improve satisfaction.

scholarly journals Siblings of individuals with severe mental illness

2014 ◽  
Vol 9 (4) ◽  
pp. 215-221 ◽  
Author(s):  
Jacqueline Sin ◽  
Debbie Spain ◽  
Cheryl Jordan ◽  
Christopher A. Griffiths
Keyword(s):  
Mental Illness ◽  
Severe Mental Illness ◽  
Workforce Development ◽  
Good Practice ◽  
Well Being ◽  
Information Support ◽  
Potential Contribution ◽  
Voluntary Service ◽  
Content Type ◽  
Health And Social Care

Purpose – The importance of providing information, support and interventions for family members and carers of people who have severe mental illness (SMI) has garnered increasing attention in recent years. However, research to date has primarily focused on parents; the purpose of this paper is to review the literature investigating the experiences of siblings of individuals who have SMI. Design/methodology/approach – A literature review was undertaken to summarise the empirical data regarding the experiences and needs of siblings, and their potential contribution to supporting their siblings’ recovery journey. Findings – Sibling views, experiences and needs have thus far been little explored. Yet siblings often make significant contributions to their brother's/sister's care and social and emotional well-being, and their support can positively shape the recovery trajectory. This review finds that siblings require information and support for two reasons: to maintain their own well-being, and to be able to best support their sibling with SMI and the family as a whole. Several implications for clinical practice, workforce development and research are outlined. Originality/value – This paper provides a timely review of the literature to enhance awareness of the needs and experiences of siblings for health and social care professionals. Examples of good practice are proposed for statutory and voluntary service settings.

Sign in / Sign up

Export Citation Format

Share Document